PREMIER MEDICAL PRACTICE

MARKSVILLE, LA
NPI1437188570
Entity TypeOrganization
Authorized ContactANTHONY MARK B. AMIGO
Physician
318-253-5647
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: LA  11268R)
Enumeration Date2006-07-01
Last Update Date2020-08-22
Business Address
PREMIER MEDICAL PRACTICE
338 MOREAU ST
MARKSVILLE, LA 71351-2956
Phone number: 318-253-5647
Mailing Address
PREMIER MEDICAL PRACTICE
338 MOREAU ST
MARKSVILLE, LA 71351-2956
Phone number: 318-253-5647
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